83rd Professional Group LLC
NPI #1518346170 in Willowbrook, Illinois
Provider Information
- NPI Number
- 1518346170
- Entity Type
- Organization
- Organization Name
- 83rd Professional Group LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- May 28, 2015
- Last Updated
- Sep 18, 2015
Practice Location
- Address
- 6723 KINGREY HIGHWAY
- City
- Willowbrook
- State
- Illinois
- ZIP Code
- 60527
- Phone
- (630) 850-0600
Authorized Official
- Name
- TALAT GHAUS, MD
- Title
- OWNER/ MANAGER
- Phone
- (630) 234-4895
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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